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Youth Salsa Team Registration (Culture Beat)
New Student Registration Form for Culture Beat Entertainment - SPRING/SUMMER 2017 Youth Program. Please fill out the registration form below. One for every student.

Favor de llenar el siguiente formulario. Llene uno por cada estudiante.

Program details:

REHEARSAL: Every Sunday, except Holidays or 5th Sundays of the month

TIME: 1:00 pm - 2:00 pm, Arrive by 12:45 PM (4 Sundays per month)

AGES: Little Stars (6-12 yrs) & Teens (13-16 yrs)

LOCATION: Sonia's World of Dance, 5535 Richmond Ave, Houston, TX 77056

PROGRAM DURATION: Recital Debut will be on SATURDAY, JULY 14th at 9:30 PM and then continue month-to-month through the summer special events (local and out-of-town).

TUITION: $50 / month (4 classes per month). Payment due at the first rehearsal of each month.
NOTE: Discounts available for multiple children in the same household / family.

DRESS CODE:

- Girls: Jazz or Ballet shoes preferred, otherwise flat or tennis shoes. Tights or leggings preferred. Black/dark colors preferred. No sandals or boots please.

- Boys: Flat, light shoes. Tennis shoes are okay. NO Sandals or boots please. Fitted, comfortable clothing recommended. Black/dark colors preferred.

QUESTIONS: INFO@culturebeatent.com or 832-403-7319 (Mr. Hector) SE HABLA ESPAÑOL

Empowering our Youth through dance
Check out the Little Stars' Latest Performance below (VIDEO)
Student's Full Name *
Nombre del estudiante
Your answer
Date of Birth *
Fecha de nacimiento
MM
/
DD
/
YYYY
Gender
Género
School *
Escuela
Your answer
Has your child taken dance lessons before? *
Ha tomado su hijo clase de baile?
If so, what genre and for how long? (skip question if they have been on this team before)
Si es así, qué género y por cuánto tiempo? No es necesario contestar si ha estado en este grupo antes
Your answer
Parent/Gaurdian's Full Name *
Nombre del padre/madre
Your answer
Phone Number *
Numero del telefono
Your answer
Email *
Your answer
Emergency Contact's Full Name *
Nombre del contacto de emergencia
Your answer
Emergency Contact's Phone Number *
Numero del telefono del contacto de emergencia
Your answer
Relationship to Student *
Relación con el estudiante
Your answer
Is your child available to perform at the recital on SATURDAY, JULY 14th around 9:00 PM?
Estara el niño(a) disponible para el debut show el Sabado, 14 de Julio como a las 9 PM?
Are you interested in the performance at the B.I.G. Salsa Festival in San Antonio, on the second weekend in August?
Estara interesado y disponible para el BIG Salsa Festival en San Antonio, el segundo fin de Semana de Agosto?
Are you interested in the performance at the Puertorican/Cuban Festival in Houston? Usually on the 3rd weekend in September.
Estara interesado y disponible para el BIG Salsa Festival en San Antonio, el segundo fin de Semana de Agosto?
How did you hear about us? *
Cómo se enteró de nosotros?
Required
Name of person who referred you (if applicable)
Nombre de la persona quien lo refirió (si es aplicable)
Your answer
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